PDC Layton LLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

6686816-9922 Issued in UT

Legal business name

PDC LAYTON LLC

Doing business as

Platinum Dental Care

Practice address

2152 N Hill Field Rd
Ste 2
Layton, UT 84041-4728

Phone

(801) 776-3300

NPI assigned

Jul 10, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Taelor Jeppson

Title

Insurance Coordinator

Phone

(801) 305-3460

Specialties & licenses 1

Addresses

Other names 1

• Platinum Dental Care Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1436486400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436486400000",
    "number": "1679957567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2152 N HILL FIELD RD",
            "address_2": "STE 2",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414728",
            "telephone_number": "801-776-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2152 N HILL FIELD RD",
            "address_2": "STE 2",
            "city": "LAYTON",
            "state": "UT",
            "postal_code": "840414728",
            "telephone_number": "801-776-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PDC LAYTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-10",
        "last_updated": "2015-07-10",
        "status": "A",
        "authorized_official_last_name": "JEPPSON",
        "authorized_official_first_name": "TAELOR",
        "authorized_official_title_or_position": "INSURANCE COORDINATOR",
        "authorized_official_telephone_number": "801-305-3460",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "UT",
            "license": "6686816-9922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Platinum Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Andrew D Pavlovich, DPT
• Dallas Paxman
• Debra Jean Payne, PHD, LCSW
• Makenzie Payne
• Denise Payton
• Peak Performance Chiropractic & Wellness, L.L.C
• Rebecca Pearce
• Flor Peat
• Karon Peckham
• Pediatric Dentistry, P.C.

• General Practice Dentistry in Layton, UT
• Providers in Layton, UT by specialty
• General Practice Dentistry in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.